Resources

Check out our reservoir of information related to check recognition and healthcare payment technologies. We frequently update this section with the latest news, trends, and analysis of the banking and healthcare industries.

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News and trends for the banking and healthcare industries

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Platform Modernization

Both the financial and healthcare industries are undergoing modernization initiatives in check payments and remittance.  See how OrboGraph is using AI, self-learning and deep learning models to drive innovation in these industries to deliver workflow automation.

Platform Modernization

Modernizing payments in the banking and healthcare industries

AI, Self Learning & Deep Learning Technologies

Optimized AI and deep learning models for the automation of check processing and healthcare posting

Operationalizing AI & Self Learning in Checks

Revolutionizing check processing and fraud prevention for the banking industry

Delivering Healthcare Payment Electronification

Increased accuracy levels, decreased error rate for healthcare payments posting

Product Videos

See how each product/service module of OrboAnywhere and OrboAccess delivers value from our check and healthcare payment platforms

Corporate Video & Podcast

See and hear how OrboGraph incorporates AI, deep learning and self learning technologies into its product suite

Healthcare Payments

OrboAccess automates remittance and payment posting as well as enables full research and business intelligence analysis for RCM companies, clearinghouses, billers, and providers.

Access EOB Conversion

Delivers EOB/EOP electronification with information intelligence via AI and deep learning technologies

Access Correspondence Letters

Extracts posting data and tracks reimbursement progress via workflow management

Access Payment Reconciliation

Streamlines the reconciliation process of ERA, ACH, EOB and checks

Access Patient Payments

Automates patient payments for posting

Access Denial Intelligence

Spotlights trends in denials to reduce receivables via prevention

Healthcare Payments Automation Center

Scalable, reliable, flexible cloud-based hosted data center on Amazon Web Services (AWS)

Check Processing

OrboAnywhere automates paper originated payments (i.e. checks, money orders, drafts) and remittances for balancing and posting while reducing risk and losses in the areas of check fraud, payment negotiability and compliance.

Anywhere Fraud

Transaction and image analysis for on-us and deposit fraud detection of counterfeits, forgeries, and alterations.

Anywhere Recognition

Divergent multi-engine CAR/LAR, ICR, OCR & AI check recognition for the Omnichannel

Anywhere Validate

Validate payment negotiability of paper originated items

Anywhere Payee

Match, read, and validate payees for risk and operational workflows

Anywhere Positive Pay

Payee name verification of business checks using issue files

Anywhere Compliance

Mitigate risk in check payments for OFAC, BSA/AML, UCC, Reg CC, and KYC

Restrictive Endorsement

Automatic validation of restrictive, mobile and non-restrictive endorsements

Traditional Products

Based on the Accura XV platform

62 Hospitals Sued for Fraudulent Patient EHRs and Falsified Claims

EHR Intelligence reports on a whopping sixty-two Indiana hospitals being sued in a federal civil lawsuit for allegedly falsifying records and participating in a kickback scheme, primarily by overbilling for the release of patient Electronic Health Records.

As reported in The South Bend Tribune:

Memorial Hospital of South Bend, Saint Joseph Regional Medical Center in Mishawaka, St. Joseph Regional Medical Center in Plymouth, 59 other hospitals and a Georgia corporation are accused of receiving more than $300 million in taxpayer dollars “in a fraudulent manner that constitute false claims for public funding.”

Michael Misch and Bradley Colborn, attorneys for South Bend law firm Anderson, Agostino & Keller, brought the suit in Sept. 2016 on behalf of the United States and state of Indiana after experiencing difficulties in obtaining electronic medical records from local hospitals in their work on personal injury and medical malpractice cases.

Misch and Colborn contend that the hospitals violated provisions of the American Recovery and Reinvestment Act of 2009, which created grant programs to encourage hospitals to implement new electronic health record systems. To receive the grants, hospitals had to produce and release information that showed the number of medical records requests annually, and whether the records were turned over to those requesting them within three business days. Failing to achieve at least 50 percent of their requests within that time frame would make a hospital ineligible to receive funding.

Misch and Colborn began tracking the instances where they received electronic records from four hospitals, including Memorial Hospital and both St. Joseph Regional Medical Center locations, beginning in 2013. The lawyers logged the number of times they received records after the required three business day period, and compared those numbers to the hospitals’ public disclosures.

The lawsuit says the pair found that in 2013, Memorial Hospital reported 16 requests for electronic medical records and claimed it provided all 16 within the required three business day period. The lawyers allege that on five occasions between April and Dec. 2013, they received records in an electronic format only once and none of the records were issued within three business days, contradicting what the hospital reported. The pair claim to have found similar discrepancies with the other three hospitals.

So how does this relate to revenue cycle? Well, it’s about controlling processes. A good RCM operation will ensure tactical and strategic functions are done with a consistent methodology which runs at a low cost. When paper still exists in an operation, one must have outstanding controls and processes to ensure data is extracted accurately and within the desired processing windows. That’s where OrboAccess running on HPAC on the cloud comes into play. By utilizing intelligent payment automation technologies with comprehensive process and quality controls, processing of EOBs, EOPs, and correspondence letters is completed in a timely manner, consistently, at higher quality, and at cost levels near that of native EDI transactions.

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